The Use of Water Sac Dilation in Resecting Parapharyngeal Space Benign Tumor via Transoral Approach

IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Laryngoscope Pub Date : 2024-09-17 DOI:10.1002/lary.31772
Yuke Dong MS, Junbo Zhang MD, Yujie Li MS, Wei Huang BM, Yanwei Dang MS, Tao Li MS, Lianfang Xu MS, Xiao Shen MS, Hongyan Li MS, Lijie Huang MS, Beiying Li MS
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Abstract

Objectives

To evaluate the effectiveness of employing the water sac dilation (WSD) method during endoscopy-assisted transoral resection of parapharyngeal space benign tumor (PSBT).

Methods

Between February 2017 and January 2022, a total of 32 patients diagnosed with PSBT were included in this prospective study and were randomly allocated into two groups: the WSD group and the control group. Tumors of the WSD group patients were all dissected using the WSD method.

Results

The final numbers of studied patients in WSD group and control group were 17 and 15, respectively. The basic information was comparable between these two groups of patients. All these patients successfully underwent tumor resection via transoral approach. The operation time, intraoperative blood loss, drainage volume on the first postoperative day, drainage duration, and the total drainage volume in the WSD group patients were significantly lower than those in the control group patients (all p < 0.05). No surgical complications occurred, and no residual tumor or recurrence could be identified at 6 months after surgery in both groups of patients.

Conclusion

The application of the WSD method in endoscopy-assisted transoral resection of PSBT effectively attenuated intraoperative injury, improved surgical efficiency, and accelerated postoperative recovery.

Level of Evidence

3 Laryngoscope, 135:665–670, 2025

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经口途径切除咽旁间隙良性肿瘤时使用水囊扩张术
目的 评价在内镜辅助下经口切除咽旁间隙良性肿瘤(PSBT)过程中采用水囊扩张法(WSD)的有效性。方法 在2017年2月至2022年1月期间,这项前瞻性研究共纳入了32例确诊为PSBT的患者,并将其随机分配为两组:WSD组和对照组。WSD 组患者的肿瘤均采用 WSD 法进行解剖。结果 WSD 组和对照组的最终研究患者人数分别为 17 人和 15 人。两组患者的基本信息具有可比性。所有这些患者都成功地接受了经口肿瘤切除术。WSD 组患者的手术时间、术中失血量、术后第一天引流量、引流时间和总引流量均显著低于对照组患者(均为 p <0.05)。两组患者均未发生手术并发症,术后 6 个月均未发现肿瘤残留或复发。结论在内镜辅助下经口切除 PSBT 中应用 WSD 方法可有效减轻术中损伤,提高手术效率,加快术后恢复。
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来源期刊
Laryngoscope
Laryngoscope 医学-耳鼻喉科学
CiteScore
6.50
自引率
7.70%
发文量
500
审稿时长
2-4 weeks
期刊介绍: The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects
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